Venous System Interventions for Device Implantation

Jose M Marcial; Seth J Worley

doi:10.1016/j.ccep.2017.11.017

Venous System Interventions for Device Implantation

Card Electrophysiol Clin. 2018 Mar;10(1):163-177. doi: 10.1016/j.ccep.2017.11.017.

Authors

Jose M Marcial¹, Seth J Worley²

Affiliations

¹ Department of Medicine, Division of Cardiology, Cardiac Arrhythmia Center, Medstar Heart and Vascular Institute, Medstar Washington Hospital Center, 110 Irving Street Northwest, Washington, DC 20010, USA.
² Department of Medicine, Division of Cardiology, Cardiac Arrhythmia Center, Medstar Heart and Vascular Institute, Medstar Washington Hospital Center, 110 Irving Street Northwest, Washington, DC 20010, USA. Electronic address: seth@mcworley.com.

PMID: 29428138
DOI: 10.1016/j.ccep.2017.11.017

Abstract

Subclavian obstruction is common after lead implantation and the need to add or replace a lead is increasing. Subclavian venoplasty (SV) is a safe and effective option for venous occlusion. Peripheral venography overestimates the severity of the obstruction. A wire can usually be advanced into the central circulation for SV. Compared with dilators, SV improves the quality of venous access, providing unrestricted catheter manipulation for His bundle pacing and left ventricular lead implantation. SV preserves venous access and reduces lead burden. SV can easily be added to the implanting physicians lead management options.

Keywords: Biventricular; Focused force venoplasty; His pacing; Occlusion; Stenosis; Subclavian occlusion; Upgrade; Venoplasty.

Publication types

Review
Video-Audio Media

MeSH terms

Catheterization / methods*
Defibrillators, Implantable*
Humans
Pacemaker, Artificial*
Phlebography
Prosthesis Implantation / methods*
Subclavian Vein